Psychiatric symptoms in Porphyria- Causal? Or Coincidental? - A case report
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
The porphyrias are a heterogenous group of inborn errors of metabolism caused by inherited, and rarely acquired, enzyme defects in heme biosynthesis pathway. The acute porphyrias are characterized by periodic attacks of neurovisceral symptoms including abdominal pain, neurologic deficits, psychiatric symptoms, and high coloured urine. Frequently, the disorder stays occult for a long time. Mental disorders occur in 24% to 80% of cases and every psychiatric symptom has been reported in literature ranging from hysteria, anxiety, depression, Obsessive Compulsive Disorders, phobias, psychosis, organic disorder to agitation and altered consciousness ranging from delirium to somnolence and coma. Despite standard laboratory tests and genetic screening, in the majority of patients, the onus of diagnosis, lays with skilful and thorough history taking.
Authors and Affiliations
Vanishree G, Venkatesh Madan Kumar, Asokan TV
Keywords
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